OrganizationActive
Creating a Difference LLC
NPI 1104332394 · Community/Behavioral Health Agency · Pompano Beach, FL
Provider details
- NPI number
- 1104332394
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Diana Bencid, Sole Member(786) 301-7622
- License
- 1-17-27747 (FL)
Specialties & taxonomies
Agencies
Behavioral Health & Social Service Providers
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
800 Cypress Blvd Apt 204
Pompano Beach, FL 33069-4078
Phone: (786) 301-7622
Approximate (ZIP-level) locationGet directions
Mailing address
43 S Powerline Rd # 248
Pompano Beach, FL 33069-3001
Registry dates
- Enumerated
- 2017-12-26
- Last updated
- 2017-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.